HISTOPATH Flashcards
Dolor means
Pain
Site of collection for hormonal studies
Upper quadrant of vaginal wall
Prosector of autopsy
Pathologist
Cells with fried egg appearance
Parabasal cells
Stain for copper pigments (recall)
Lindquist rhodamine
Ratio of 10% formalin
1:9 (1 parts of stocksolution: 9 parts of water)
Most common metallic fixative
Mercuric chloride
Most rapid fixative
Carnoy’s
Pathology means
Study of suffering/pain
Tissues with intercalated disk
Cardiac muscle
Flat, polyhedral cells with a pyknotic nucleus
Superficial cells
Removes nicks
Honing
Scott’s tap water is employed for
Blueing Agent
Alkaline Fast green is useful as a stain for
Histones
Fastest method of paraffin impregnation
Vacuum
Ideal fixative to tissue ratio
20:1
-Itis means
Inflammation
Ab class used in IHC
IgG
Both a nuclear and histochemical fixative
Newcomer’s
Stain for glomerular basement membrane
PAS (Periodic Acid Schiff)
Inventor of Sliding microtome
Adams
Epon is employed as
Plastic embedding medium for Electron microscopy
Non-appearance of organ
Agenesia
Clearing agent that becomes milky
Xylene
Routine fixative for exfoliative cytology
95% ethanol
Recommended fixative for cell detail in tissue photography
Mercuric chloride
Negri bodies are seen in which viral disease
Rabies
Presence of mononuclear cells are associated with which type of inflammation
Chronic inflammation
Most reliable feature of malignancy
Metastasis
Double embedding technique
1st: Celloidin ; 2nd: Paraffin
Tissue examination can be performed in _____ or ______
Fresh or Preserved tissues
Examined in its living state;
Allows examination of protoplasmic activities;
Fresh tissues
What are the protoplasmic activities of fresh tissues?
Phagocytosis
Pinocytosis
Mitosis
Motility
(PPMM)
Tissues are not permanent:
Fresh or Preserved ?
Fresh tissues
4 Methods of FRESH TISSUES examination
Teasing/ Dissociation
Squash Preparation/Crushing
Smear Preparation
Frozen Section
Tissues is immersed in a watch glass with NSS;
Dissected or separated using needle
Teasing/ Dissociation
In Teasing, tissues is immersed in a watch glass with _____
NSS
Microscope needed in Teasing method
Phase contrast/ Bright field
Stain used in Teasing method
Methylene Blue
Small tissues are placed in a slide;
Tissues are compressed with another slide or coverslip
Squash Preparation/Crushing
In squash method, what is the size of tissue needed to be place in a slide
1mm or less
Stain used in squash method
Supravital stain
Cellular materials are spread lightly over a slide
Smear preparation
Method of fresh tissue examination:
Useful for cytology
Smear Preparation
4 types of Smear Preparation
Streaking
Spreading
Pull- Apart
Touch Preparation
Material is added using an applicator stick of loop in a direct or zigzag fashion
Streaking
Material is placed on a clean slide and spread into a moderately thick film by teasing with an applicator stick
Spreading
Advantage of spreading smear
Maintains intercellular relationship
Use of 2 slides in preparing the smear
Pull-Apart
Smear used for thick secretions
Pull-Apart
Touch preparation is A.K.A
Impression smear
Freshly cut piece of tissue in brought into contact and pressed on to the surface of a clean slide
Touch Preparation
Touch preparation is used for
Lymph nodes
The slide of touch preparation should be ____ and _____
sterile and with polished edges
For rapid diagnosis of fresh tissue examination
Frozen section
Time needed for:
Rush Frozen Section
5-15 mins
Apparatus used in Frozen section
Cryostat/Cold microtome
Freezing Microtome
Method of tissue examination:
Used for demonstration of lipids, nervous tissue elements ,enzymes
Frozen section
Preserved tissue processing:
Permanent or Not Permanent?
Permanent
Frozen section is done:
Intraoperatively or Preoperative or Postoperative
Intraoperatively
First and most important step in histopathology
Numbering (Accessioning)
In numbering, the specimen number is preceded by either:
S=
A=
C=
Surgical
Autopsy
Cytology
Example:
S99-0345, what does it mean?
345th Surgical specimen in the year 1999
The MT will then write down the description for processing at the ________
back of the request or in-front of the request ?
back of the request
Use ___ in writing the description of the tissue specimen
Pencil
Specimen size for processing:
2 x 3 cm
3-5 mm thick
What can be added for small tissues
1% eosin
For electron microscopy, specimen size should be?
1 mm^3
Most crucial step in histopath
Fixation
Process of preserving cells and tissue constituents in a condition identical to that existing during life
Fixation
Fixation prevent ____
Autolysis
Self-destruction of tissues
Autolysis
3 Methods of Fixation
Heat fixation
Perfusion
Immersion
Fixation via blood flow
Perfusion
2 Mechanism of action in fixation
Additive
Non-additive
The fixative becomes part of the tissue by formation of cross links/complexes
Additive
Stabilizes the tissue proteins
Additve
Ex: of additive fixation
Mercury
Formalin
Osmium tetroxide
Fixative not incorporated into the tissues
Non-additive
Alteration of tissue composition
Additive or Non-additive?
Non-Additive
Stabilizes the tissue by removing water
Additive or Non-additive?
Non-Additive
Ex of Non-additive fixation
Alcoholic fixative
Ex of mordant/accentuators in fixation
Osmium tetroxide
Potassium dichromate
pH of fixation
6-8
Traditional temp for fixation
Room temp
Autotech temp for fixation
40Degree Celsius
EM and Histochem temp for fixation
0-4 Degree Celsius
Rapid fixation temp
60 Degree Celsius
Temp of fixation for tissues with TB
100 Degree Celsius
Thickness of fixation for EM
1mm ^3 or
1-2 mm^2
Thickness of fixation for LM
2x3 cm or
2cm^2
Tissues should not be more than ___ thick
4-5 mm
Thickness of edematous lung tissues
10-20 mm or
1-2cm
Suspended in whole and tie with string
Brain tissues
Brain tissues should be tie at the string of ___ (recall)
Circle of Willis
Fixative for brain tissues
10% buffered formalin
Brain tissues should be fixed for how many?
2-3 weeks
Ex of large solid tissues
Uterus
Large solid tissues should be ____ to allow the fixative to enter the tissue
Cut open
Osmolality of fixation
Slightly hypertonic solution
aroung 400-450 mOsm
Ideal for immunolectron microscopy
0.25% glutaraldehyde
Time duration of primary fixation in buffered formalin
2-6 hours
Time duration of EM fixation
3 hours then placed in a holding buffer
Speed of fixation
<1hr or immediately
Why does fixation need to be done immediately
To prevent autolysis and putrefaction
Rate of penetration of formalin
1mm/hr
Volume or ratio of ideal fixation
10-20x of that tissue or 20:1 (fixative:tissue)
Volume for expensive fixative
5-10x reduced
Example of expensive fixative
Osmium tetroxide
Volume for museum preparation
atleast 50x of that tissue
Duration of tissue depends on
tissue structure
Duration of fixation of fibrous tissue
longer fixation time
Duration of fixation of small or loosely textured tissues
shorter fixation time
Duration of fixation can be hastened by:
Heat
Agitation
Vaccum
Microwave
“HAV Mi”
If autopsy materials are not anle to be fixed, these should be placed in:
Mortuary refrigeration at 4 Degree Celsius
Undergo Arterial Embalming
Organs that need to be grossed after fixation
Brains and eyes
Example of hollow organs
Stomach and intestine
Organs that tend to float in fixation
Hollow organs and Air filled lungs
Remedy for hollow organs in fixation that tend to float
Put cotton inside
Remedy for air filled lungs that tend to float in fixation
Wrap in gauze
Lungs of pneumonia patient tend to float or sink during fixation?
Sink
Due to combination of increased fluid content and consolidation in the lungs of pneumonia patients leads to a loss of buoyancy, causing them to sink during fixation.
What considereation should be done in Eyes specimen during fixation ?
Inject with formol alcohol
Example of hard tissues
Cervix,fibroids,hyperkeratotic skin, nails,teeth,bone
Consideration need to be done in hard tissues
Immersed the tissue in a softeners such as Perenyi’s or Lendrum’s before sectioning
Fixative types according to composition
Simple
Compound
Type of fixative that contains 1 fixative
Simple fixative
Type of fixative that contains 2 or more fixative
Compound fixative
Ex. of simple fixative
Heat
Aldehyde
Metallic Fixative
“HAM”
Fixatives according to action
Microanatomical
Cytological
Fixatives that permits general microscopic study of tissue structures without altering the structural pattern and normal intercellular relationship of tissues
Microanatomical
Fixative that preserve a specific part/ element of cells
Cytological
3 Types of cytological fixative
Nuclear
Cytoplasmic
Histochemical
Fixative that preserve nucleus and chromatin material and contains glacial acetic acid
Nuclear fixative